surgical anaesthesia persists for 3-4 hours. Side effects: I. Cardiovascular system reactions: Unintentional intravascular injection of bupivacaine during regional anaesthesia or peripheral nerve blocks causes severe cardio toxic effects including hypotension‚ ventricular fibrillation and atrio-ventricular
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Identify and define these instruments: - Stethoscope - Sphygmomanometer 2. Define: Blood Pressure - What kind of vessel and usual location is it taken? - What is the Systolic BP? Diastolic BP? - Normal range of BP? - Define: Hypotension Hypertension 3. Define: Pulse - Identify pulse points on unlabeled diagram‚ Figure 33A.3 Palpation Auscultation - What are the heart sounds? - Identify locations that heart valves are best heard‚ Figure
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A hospitalization for a deep vein thrombosis (DVT) is a serious matter and can be life threatening. DVT is a venous obstruction caused by incompetent valves. This is treated extremely aggressively due to the potential for it to cause embolization to the pulmonary circulation. Patient T.V. has recently had abdominal surgery and is now in the hospital to treat DVT in her left leg. After the third day she begins having shortness of breath and supplemental oxygen is needed. Considering T.V.’s history
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Patients were positioned in Sim’s position. Line was drawn from the posterior superior iliac spine to the midpoint of the greater trochanter. A perpendicular line was drawn bisecting this line‚ which extended 5 cm caudally. A second line was drawn from the greater trochanter to the sacral hiatus. The intersection of this line with the perpendicular line indicated the point of needle entry figure1[9]. Then sterilization of the site of needle insertion‚ a 12 cm‚ 20 gauge short-beveled stimulating
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Pathophysiology Infection and inflammation of the kidneys is called pyelonephritis. Pyelonephritis is a type of urinary tract infection. E. coli is the most common microbe that causes pyelonephritis. It usually begins in the urethra or bladder and travels to the kidneys. There is a chance of it spreading to the calyces and medullary tissues such as the tubules of the nephrons. If not treated the glomeruli will also be infected and inflamed. (Bullock & Hales 2013). There is both acute pyelonephritis
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• Discuss the questions that would be important to include when interviewing a patient with this issue. Questions that increase the patient risk of developing an ectopic pregnancy should be asked and they include: history of previous tubal surgery‚ previous ectopic pregnancy‚ in utero diethylstilbestrol exposure‚ previous genital infections‚ infertility‚ current smoking‚ and previous intrauterine device use (Lozeau‚ & Potter‚ 2005). Questions about menstrual cycles as well as the pelvic pain should
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Breathlessness 1. Presenting condition (PC) = Increase SOB 2. History of presenting condition (HPC) = Gradual decline or sudden. Any changes or normal exercise tolerance. Sleep at night‚ does lying flat make it worse? What makes it better/worse? 3. Past Medical History (PMH) 4. Drug History 5. Social History – include smoking‚ family history ect. 6. Examination of patient O – onset L – Location D – Duration C – Character A – Aggrevating R – Relieving T - Treatment TAKING A HISTORY Started
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(Defining characteristics‚ support for R/T‚ RTRF) Database - Objective (Defining characteristics‚ support for R/T‚ RTRF) Dizziness‚ fatigue‚ Severe cramping‚ SOB‚ thirst‚ excitability‚ insomnia‚ lightheadedness‚ anxiety. Tachycardia Tachypnea Hypotension Decreased Hemoglobin & Hematocrit Excessive blood loss CBC boggy fundus HGT HCT Interventions: Independent and Collaborative Rationale (cite source for each rationale) Evaluation (of each intervention) Assess 1. Upon admission assess
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Case study The case study relates to Mr Brown‚ who was diagnosed with acute pulmonary oedema secondary to acute renal failure‚ due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment‚ relevant past history‚ medications and the current assessment finding that had him admitted to the intensive care unit. The patient’s pathology results and drug treatment to correct his electrolyte imbalances will be discussed briefly. The assignment will discuss the
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A fall may be described as an unpredicted contact with the ground. Falls remain constantly high and can be attributed to a various reasons that require awareness in healthcare facilities. These causes‚ includes poor lighting slippery or uneven floors clutter‚ wrong bed height‚ cognitive issues‚ mental health concerns etc. Falls have both physical significances‚ financial impact on the facility as well as emotional implications to the patients. A fall that results in injury has a financial impact
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